Provider Demographics
NPI:1003239690
Name:WESTFALL, JANNA A (CRNP)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:A
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3197 BRADBURY DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4701
Mailing Address - Country:US
Mailing Address - Phone:724-462-5782
Mailing Address - Fax:412-279-3416
Practice Address - Street 1:1001 BRINTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4533
Practice Address - Country:US
Practice Address - Phone:412-501-0482
Practice Address - Fax:724-935-4321
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP013359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP013359OtherLICENSE